In 1941, Skinner and Keefer vividly chronicled an astonishing82 percent mortality among 122 consecutive patients who hadbeen treated for Staphylococcus aureus bacteremia in the preantibioticera.1 Of the 41 patients older than 50 years of age, only 1(2 percent) survived. Imagine the elation a few years laterover the availability of penicillin, the prototype of a newtherapeutic class of drugs (see page 524). In the next few decades,well-intentioned academic leaders predicted the demise of bacterialinfections.
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Penicillin G.
Such irrational exuberance over the sustained benefits of antibioticsshould have been tempered by . . . [Full Text of this Article]
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From the Department of Internal Medicine, Virginia Commonwealth University, Richmond.
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